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目的分析剖宫产术后瘢痕子宫再次足月妊娠产妇行阴道试产的妊娠结局。方法选取在甘肃省妇幼保健院分娩的80例瘢痕子宫足月妊娠产妇作为观察组,另选取同期分娩的80例初次妊娠足月产妇作为对照组,两组产妇均行阴道试产,比较两组产妇阴道试产成功率及妊娠结局。结果观察组产妇的阴道试产成功率为77.50%,对照组为86.25%,组间比较差异无统计学意义(P>0.05);两组产妇的产程潜伏期、活跃期、总产程时间以及新生儿Apgar评分、分娩出血量比较,差异无统计学意义(P>0.05);观察组产妇的分娩并发症总发生率为33.75%,略高于对照组的21.25%,但组间比较差异无统计学意义(P>0.05)。结论瘢痕子宫足月妊娠产妇在严密的产程监控下进行阴道试产是可行的,并且还能够较好地避免再次剖宫产引起的二次损伤,安全性好。
Objective To analyze the pregnancy outcome of vaginal trial of pregnant women with full-term pregnancy after cesarean scar surgery. Methods Eighty pregnant women with scar-shaped uterus full-term pregnancy who gave birth in Gansu Provincial Maternal and Child Health Hospital were selected as the observation group. Another 80 pregnant women of the first trimester were selected as the control group. The two groups were given vaginal trial. Maternal vaginal trial success rate and pregnancy outcome. Results The successful rate of vaginal trial in the observation group was 77.50%, while that in the control group was 86.25%. There was no significant difference between the two groups (P> 0.05). The incubation period, active period, total labor duration and neonatal Apgar score, the amount of bleeding during delivery, the difference was not statistically significant (P> 0.05); observation group maternal childbirth complications was 33.75%, slightly higher than the control group, 21.25%, but there was no significant difference between the groups Significance (P> 0.05). Conclusion It is feasible to carry out vaginal trial under the condition of tight birth control in full-term pregnant women with scar-shaped uterus. And it can also avoid the secondary injury caused by cesarean section again and has good safety.